Experienced Registered Nurse - Peds Cardiac Stepdown

Company: Duke Health
Location: Durham
Posted on: March 5, 2026

Job Description:

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: - Duke University Health System is designated as a Magnet organization - Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. - Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. - Duke University Health System has 6000 registered nurses - Quality of Life: Living in the Triangle! - Relocation Assistance (based on eligibility) Registered Nurse (Experienced RN) Peds Cardiac Stepdown – Duke University Hospital Located in Duke Central Tower, Unit 3A Duke University Health System seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together. The Peds Cardiac Stepdown (Unit 3A) at Duke University Hospital has 17 beds that primarily has infants/young adult patients with congenital heart disease, cardiac transplant and complex care patients who are trach/ventilator dependent. Nurse to patient staffing ratio is 1:3. Work Schedule: Full Time: 3, 12 hour shifts. 7a/7p, Day/Night rotating. 36 hours per week. What you will do: As a Clinical Nurse II in Duke University Health System, you will plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. - Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care. - Delegate tasks and supervise the activities of other licensed and unlicensed care providers. - Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned. - Monitor and initiate corrective action to maintain the environment of care including equipment and material resources. - Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. - Act as preceptor and support the development of other staff and formal learners. - Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities. - Perform other related duties incidental to the work described herein. What you can expect: - Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively. Educate patients and families in accordance with the nursing plan of care. Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others. What we will provide: - Paid Training: 4 – 6 weeks of paid orientation depending on level of experience. - Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education. - Clinical Ladder Advancement - Tuition Assistance - Relocation Grant - Employee Referral Program - Nursing Specialty Certification Bonus - Performance Increases - Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more. What you will need: - Graduation from an accredited Bachelor’s Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date. Licensure and Certification Required: - Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required. - BLS Certification required Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Keywords: Duke Health, Durham , Experienced Registered Nurse - Peds Cardiac Stepdown, Healthcare , Durham, North Carolina